Marine Corps League

Application for Membership Instructions

APPLICATION FOR MEMBERSHIP

MARINE CORPS LEAGUE

(Date)_____________

Name_________________________________________________________________________________________

Street_______________________________________________________________ # ________________________

City_________________________________________ State_______________________ Zip___________________

Date of Birth_____ / _____ / _____           Date of Enlistment/Commissioning __________________________________

Date of Discharge/Separation/Retirement_____________________ SSN#____________________________________

Type of Application  New (   )      Renewal (   )           Phone (______) _______________________________________

(     ) I hereby apply for membership in the _____________________________ Detachment, Marine Corps League and enclose $_____________ for one year's membership.*

-OR-

(     ) I hereby apply for membership in the Marine Corps League as a Member-at-Large, and enclose $31.00 for one year's membership.*

        * Includes $2.00 subscription to MARINE CORPS LEAGUE MAGAZINE

I hereby certify that I have served as a U.S. Marine for more than 90 days, that the character of my service has been honorable, and if discharged, I am in receipt of an honorable discharge. By signature on this application, I hereby agree to provide proof of honorable discharge/service upon request.

________________________________________                  ________________________________________

(Sponsor-where applicable)                                                        (Applicant's signature)

Upon completion, turn into your Detachment sponsor with required payment. Applicants for MAL Membership, remit this form with check or money order in the amount of $31.00 to: National Headquarters, Marine Corps League, P.O. Box 3070, Merrifield, VA. 22116.

Please E-Mail all questions to tduncansemperfi@sbcglobal.net